Article

What’s driving the youth mental health crisis? We asked 1,400 clinicians.

By ERIN SMITH and DANIEL PAYNE 04/10/2024 for Politico


In a survey conducted by POLITICO, 1,400 clinicians specializing in youth mental health treatment expressed concerns about the lack of resources available to address the growing mental health crisis among children and adolescents, exacerbated by the COVID-19 pandemic. While clinicians agree that patients are worse off now than before the pandemic, there is disagreement on the underlying reasons. The survey revealed widespread dissatisfaction among mental health professionals regarding the resources available for treating young patients, with many citing challenges such as limited access to services in rural areas, long waitlists for treatment, and shortages of qualified providers.

Clinicians identified several contributing factors to the youth mental health crisis, including social media, social isolation, and external events beyond children's control. Anxiety and depression were reported as the top concerns and diagnoses among those under 18, with clinicians citing difficulties in accessing treatment and barriers such as insurance reimbursement and workforce shortages. Despite the complexity of the crisis, clinicians emphasized the need for policymakers to implement multiple investments and reforms to address the root causes and improve access to care for young people nationwide.

Note: The results reflect survey responses from 1,400 medical and mental health professionals who participated in POLITICO’s survey. Source: POLITICO reporting Claudine Hellmuth/POLITICO

Key Takeaways

  1. Clinician Concerns: Many clinicians specializing in youth mental health treatment express concerns about the lack of resources available to address the growing mental health crisis among children and adolescents.
  2. Worsening Conditions: Clinicians agree that patients are worse off now than before the pandemic, but there is disagreement on the underlying reasons for the decline in mental health.
  3. Resource Dissatisfaction: A significant number of mental health professionals report dissatisfaction with the resources available for treating young patients, citing challenges such as limited access to services, long waitlists for treatment, and shortages of qualified providers.
  4. Contributing Factors: Clinicians identify several contributing factors to the youth mental health crisis, including social media, social isolation, external events beyond children's control, lack of independence skills, and missing developmental milestones due to the pandemic.
  5. Top Concerns and Diagnoses: Anxiety and depression are reported as the top concerns and diagnoses among those under 18, with clinicians noting difficulties in accessing treatment and barriers such as insurance reimbursement and workforce shortages.
  6. Barriers to Care: Clinicians highlight barriers to providing better mental health care to children, including shortages of practitioners trained to treat children, difficulties in diagnosing problems due to limited parental involvement, and challenges with insurance coverage and reimbursement.
  7. Call for Action: Despite the complexity of the crisis, clinicians emphasize the need for policymakers to implement multiple investments and reforms to address the root causes and improve access to care for young people nationwide.
  8. Survey Methodology: The article provides insights into the methodology used for the survey, including the collaboration with professional organizations, distribution methods, and the timeframe of data collection.

From the Article

Many clinicians who work with young patients with mental health issues agree they lack enough resources to treat kids and that patients are worse off now than before the pandemic — but they don’t exactly agree on why that is.

POLITICO surveyed 1,400 clinicians to better understand the reasons behind the national youth mental health crisis that continues to perplex government, health and community leaders — who are scrambling to find solutions to slow the rise of kids in need of mental health services.

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